[Multimodality imaging in the diagnostic work-up in patients with heart failure in clinical practice]

Area of Science:

• Cardiology
• Medical Imaging

Background:

• Heart failure is a syndrome with varied cardiac origins, defined by symptoms and structural abnormalities.
• Accurate identification of the primary mechanism is vital for effective treatment and improved prognosis.
• Initial assessment includes history, physical exam, ECG, natriuretic peptides, and echocardiography.

Purpose of the Study:

• To review the role of advanced imaging modalities in diagnosing heart failure.
• To guide the selection of appropriate diagnostic tools based on initial findings.

Main Methods:

• Review of advanced echocardiography techniques.
• Discussion of cardiac magnetic resonance imaging (CMR).
• Evaluation of computed tomography (CT), cardiac catheterization, and nuclear medicine.

Main Results:

• Basic assessment is foundational for suspected heart failure.
• Advanced imaging modalities are selected based on initial findings.
• Each modality offers unique insights into cardiac structure and function.

Conclusions:

• A systematic approach to heart failure diagnosis is essential.
• Advanced imaging plays a critical role in refining diagnosis and guiding therapy.
• Personalized treatment strategies improve heart failure management.